Raven EMS Education Program ManualBreathing Oxygen Evaluation Form
Date:
Student name:
Evaluator name:
Steps:
Take BSI precautions.
Explain the procedure to the patient (if conscious).
Open the oxygen cylinder with the toggle or oxygen wrench/key.
Nasal cannula:
Attach to the regulator and flow at 0.5–6 L/min depending on the patient’s condition.
Place the prongs into the patient’s nares (if curved, the prongs should follow the natural curve of the nasal passages and face in and down).
Wrap the tubing around the patient’s ears.
Gently cinch the tubing at the neck to keep it in place.
Nonrebreathing (NRB) mask:
Attach to the regulator and flow at 10–15 L/min.
Occlude the vent to inflate the reservoir bag with oxygen.
Place the mask on the patient’s face, wrapping the elastic around the head.
Secure the mask to the face by gently pulling on the elastic to tighten.
Accepts evaluation and criticism professionally.
Shows willingness to learn/asks appropriate questions.
Interacts with simulated patient and other personnel in a professional manner (ie, uses appropriate name, explains procedures, maintains modesty, is courteous to crew, etc).
Passing criteria:
Pass: At least 70% (? of ?) successfully completed above. Currently at 0% completed.
Fail.
Fails to take BSI precautions.
Did not explain and reassure the patient to allow informed consent.
Fails to turn on cylinder.
Fails to set regulator to appropriate LPM for delivery device.
